Head Trauma - Oren Zarif - Head Trauma
A large percentage of patients with severe or moderate head trauma are immediately transferred from the emergency room to the operating room. Surgery may be necessary to remove a large hematoma or contusion that has accumulated inside the skull, raising the pressure on the brain. These patients are then observed in an intensive care unit. The patient will receive a course of painkillers and be monitored for several days. A responsible adult should accompany the patient for several days. Non-steroidal painkillers, such as ibuprofen or naproxen, should be avoided due to possible bleeding.
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If the injury is mild, the main treatment is to take over-the-counter pain relievers and gradually return to activity. If symptoms do not improve, contact your health care provider. For moderate to severe TBI, medical providers will stabilize the patient and monitor blood pressure, check blood flow to the brain, and assess oxygen levels in the brain. If the injuries are more severe, the patient may need to be hospitalized. A medical professional will also monitor the patient for any signs of seizures.
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In the US, the leading causes of TBI are motor vehicle accidents, falls, and sports. In fact, the rates of traumatic brain injury (TBI) are among the highest in adults. Each year, there are over 50,000 fatalities due to head trauma. Among Americans, traumatic brain injuries account for about a third of all traumatic deaths. If the victim is a child, TBI is most likely to be mild. For adults, however, the risk of death increases as the patient approaches adulthood.
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Direct blows to the head can result in bruising. Whiplash-type injuries may result in the brain jolting backward and hitting the opposite side of the skull. The jarring motion of the brain against the skull can damage internal organs and blood vessels. This bruising and swelling of the brain will also cause further damage. If the child's brain has sustained head trauma, he or she is likely to develop a hematoma.
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Other causes of head trauma include motor vehicle crashes and violent assaults. While no one can completely prevent the risk of developing CTE, you can reduce your risk by wearing a helmet or protective equipment that protects the head. Research also shows that exposure to blasts from military combat can result in traumatic brain injury. Although this injury does not occur with shrapnel, the brain can still experience movement if the soldier recoiled from the blast.
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In emergency department (ED) visits, patients with traumatic brain injuries are common and can be classified into mild, moderate, and severe categories. The severity of the injury is determined by the Glasgow Coma Scale (GCS) score. Fortunately, there are several treatment options available and an interprofessional team dedicated to managing patients with head trauma. These specialists are called interprofessional teams, and they work closely together to provide quality care and improve patient outcomes.
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A CT scan may be performed to determine the extent of the injury. CT scans look for fractures, swelling in the brain, and blood in the brain. They are fast and accurate. A more detailed MRI may be necessary. However, this scan is generally only ordered after the patient is in a stable condition. Further follow-up will be needed to determine if there are any neurological problems or a fractured skull. It is important to seek medical care immediately after sustaining a head injury, as this may require more extensive treatment.
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When you are involved in an accident, the emergency room may be the first place to look for symptoms of head trauma. Many times, symptoms will not appear right away. Monitor your symptoms for a few days and seek medical help as soon as possible. Depending on the severity of the injury, you may not need immediate medical attention. If you notice any of these symptoms, call 911 and go to the emergency room. There are many ways to determine whether you've sustained a serious head injury.
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When a person has sustained a traumatic brain injury, the brain suffers a series of different injuries. A concussion, for instance, is a bruise on a certain area of the brain, while a contrecoup injury affects the brain on the other side. Traumatic brain injuries can be mild or severe, but they all have very different outcomes. Some people recover from head injuries in days, while others may never fully regain their consciousness after the accident. In the worst cases, however, TBI can lead to permanent damage to the brain, or even death.